ASCT After a Rituximab/Ibrutinib/Ara-c Containing iNduction in Generalized Mantle Cell Lymphoma
Autologous Transplantation After a Rituximab/Ibrutinib/Ara-c Containing iNduction in Generalized Mantle Cell Lymphoma - a Randomized European Mcl Network Trial
1 other identifier
interventional
870
5 countries
112
Brief Summary
The primary objective of the the trial is to establish one of three study arms, as future standard based on the comparison of the investigator-assessed failure-free survival.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jul 2016
Longer than P75 for phase_3
112 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2016
CompletedFirst Submitted
Initial submission to the registry
July 14, 2016
CompletedFirst Posted
Study publicly available on registry
August 8, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2026
CompletedDecember 19, 2017
December 1, 2017
4.8 years
July 14, 2016
December 17, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Failure Free Survival
From start of treatment until stable disease at end of immuno-chemotherapy, progressive disease, or death from any cause, whichever comes first, assessed up to 120 months.
Secondary Outcomes (5)
Overall Survival
From start of treatment until the date of first documented progression, assessed up to 120 months.
Number of participants with treatment-related adverse events as assessed by CTC Version 4.03
From start of Ibrutinib treatment during induction immuno-chemotherapy and during maintenance and to compare the safety profile of the three treatment arms in terms of secondary toxicity endpoints. Through study conduction, an average of up to 30 months.
Progression-free survival (PFS)
PFS is the time to progression or death from any cause. Assed up to 120 months.
Number of Secondary Primary Malignancies
From start of treatment through the study conduction, up to 120 months.
Number of Adverse Events by CTC grade (Version 4.03)
From start of treatment through the study conduction, up to 120 months.
Study Arms (3)
Standard Arm A
ACTIVE COMPARATORR-CHOP/R-DHAP: Alternating 3 cycles of R-CHOP in cycle 1,3,5 and 3 cyles of R-DHAP in cycle 2,4,6; each 21 day cycle Drug: R-CHOP/R-DHAP ASCT conditioning (ASCT: autologous stemm cell transplantation) Drug: THAM or BEAM
Experimental Arm A+I
EXPERIMENTALR-CHOP+Ibrutinib/R-DHAP: Alternating 3 cycles of R-CHOP + Ibrutinib at Days 1-19 in cycle 1,3,5 and 3 cyles of R-DHAP in cycle 2,4,6; each 21 day cycle Drug: R-CHOP/R-DHAP Drug: Ibrutinib (Induction) ASCT conditioning (ASCT: autologous stemm cell transplantation) Drug: THAM or BEAM 2 years Ibrutinib Maintenance Drug: Ibrutinib (Maintenace)
Experimental Arm I
EXPERIMENTALR-CHOP+Ibrutinib / R-DHAP: Alternating 3 cycles of R-CHOP + Ibrutinib at Days1-19 in cycle 1,3,5 and 3 cyles of R-DHAP in cycle 2,4,6; each 21 day cycle Drug: R-CHOP/R-DHAP Drug: Ibrutinib (Induction) 2 years Ibrutinib Maintenance Drug: Ibrutinib (Maintenance)
Interventions
Drug: R-CHOP/DHAP Alternating 3x R-CHOP (Rituximab , Cyclophosphamide ,Doxorubicine ,Vincristine , Prednisone) / 3x R-DHAP (Rituximab , Dexamethasone, Ara-C, Cisplatine, G-CSF)
Ibrutinib: only in cycle 1,3,5 on Day 1-19
ASCT conditioning THAM or BEAM, stratified per site before trial activation at site THAM (TBI (total body irradiation), Ara-C, Melphalan) or BEAM (BCNU, Etoposide, Cytarabine, Melphalan)
Ibrutinib (Maintenance), daily 560 mg for 2 years;
Eligibility Criteria
You may qualify if:
- All patients must meet the following criteria:
- Histologically confirmed diagnosis of MCL according to WHO classification
- suitable for high-dose treatment including high-dose Ara-C
- Stage II-IV (Ann Arbor)
- Age ≥ 18 years and ≤ 65 years
- Previously untreated MCL
- At least 1 measurable lesion; in case of bone marrow infiltration only, bone marrow aspiration and biopsy is mandatory for all staging evaluations.
- ECOG/WHO performance status ≤ 2
- The following laboratory values at screening (unless related to MCL):
- Absolute neutrophil count (ANC) ≥1000 cells/µL
- Platelets ≥100,000 cells/µL
- Transaminases (AST and ALT) ≤3 x upper limit of normal (ULN)
- Total bilirubin ≤2 x ULN unless due to known Morbus Meulengracht \[Gilbert-Meulengracht-Syndrome\])
- Creatinine ≤2 mg/dL or calculated creatinine clearance ≥ 50 mL/min
- Written informed consent form according to ICH/EU GCP and national regulations
- +1 more criteria
You may not qualify if:
- Any potential subject who meets any of the following criteria will be excluded from participating in the study.
- Major surgery within 4 weeks prior to randomization.
- Requires anticoagulation with warfarin or equivalent vitamin K antagonists (eg phenprocoumon).
- History of stroke or intracranial hemorrhage within 6 months prior to randomization.
- Requires treatment with strong CYP3A4/5 inhibitors.
- Any life-threatening illness, medical condition, or organ system dysfunction which, in the investigator's opinion, could compromise the subject's safety, interfere with the absorption or metabolism of ibrutinib capsules, or put the study outcomes at undue risk.
- Vaccinated with live, attenuated vaccines within 4 weeks prior to randomization.
- Known CNS involvement of MCL
- Clinically significant hypersensitivity (eg, anaphylactic or anaphylactoid reactions to the compound of ibrutinib itself or to the excipients in its formulation)
- Known anti-murine antibody (HAMA) reactivity or known hypersensitivity to murine antibodies
- Previous lymphoma therapy with radiation, cytostatic drugs, anti-CD20 antibody or interferon except prephase therapy according to trial protocol
- Serious concomitant disease interfering with a regular therapy according to the study protocol:
- Cardiac (Clinically significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of Screening, or any Class 3 (moderate) or Class 4 (severe) cardiac disease as defined by the New York Heart Association Functional Classification or LVEF below LLN )
- Pulmonary (e.g. chronic lung disease with hypoxemia)
- Endocrinological (e.g. severe, not sufficiently controlled diabetes mellitus)
- +10 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Prof. Dr. M. Dreyling (co-chairman)lead
- LMU Klinikumcollaborator
Study Sites (112)
Aalborg University Hospital, Dept of Hematology
Aalborg, 9000, Denmark
Aarhus University Hospital, Dept of Hematology
Aarhus C, 8000, Denmark
Rigshospitalet, Clinic of Hematology
Copenhagen, 2100, Denmark
Herlev Hospital, Department of Hematology L121
Herlev, 2730, Denmark
Odense University Hospital, Dept of Hematology X
Odense C, 5000, Denmark
Sjaelland University Hospital, Dept of Hematology
Roskilde, 4000, Denmark
Zentralklinik Augsburg, II. Med. Klinik, Hämatologie int. Onkologie
Augsburg, 86156, Germany
Onkologische Gemeinschaftspraxis Dr. Janssen/Dr. Reichert in der Ubbo-Emmius-Klinik
Aurich, 26603, Germany
Klinikum Bayreuth, Klinik f. Onkologie und Hämatologie
Bayreuth, 95445, Germany
Vivantes Klinikum Am Urban, Klinik f. Innere Medizin, Hämatologie und Onkologie
Berlin, 10967, Germany
Charité Univ.-Medizin Berlin, Med. Klinik - Hämatologie, Onkologie und Tumorimmunologie
Berlin, 12200, Germany
Helios Klinikum Berlin-Buch, Hämatologie, Onkologie und Tumorimmunologie
Berlin, 13125, Germany
Knappschaftskrankenhaus Bochum-Langendreer
Bochum, 44892, Germany
Universitätsklinikum Bonn
Bonn, 53127, Germany
Diako ev. Diakonie-KH gGmbH, Med. Klinik II, Hämatologie und Onkologie
Bremen, 28239, Germany
Klinikum Chemnitz gGmbH, Klinik f. Innere Medizin II
Chemnitz, 09113, Germany
Uniklinik Köln, Klinik I für Innere Medizin
Cologne, 50937, Germany
DONAUISAR Klinikum Deggendorf, Innere Medizin II
Deggendorf, 94469, Germany
St.-Johannes-Hospital
Dortmund, 44137, Germany
Gemeinschaftspraxis Dr. Mohm und Prange-Krex - Fachärzte für Innere Medizin und Hämatologie und Onkologie
Dresden, 01307, Germany
Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden
Dresden, 01307, Germany
Universitätsklinikum Düsseldorf, Klinik f. Hämatologie, Onkologie und klinische Immunologie
Düsseldorf, 40225, Germany
Marien Hospital Düsseldorf
Düsseldorf, 40479, Germany
Helios Klinikum Erfurt GmbH, Zentrum f. Innere Medizin u. internistische Onkologie, Hämostaseologie
Erfurt, 99089, Germany
Universitätsklinikum Erlangen, Med. Klinik 5, Hämatologie und internistische Onkologie
Erlangen, 91054, Germany
St.-Antonius-Hospital Eschweiler, Klinik für Hämatologie und Onkologie
Eschweiler, 52249, Germany
Universitätsklinikum Essen, Klinik f. Hämatologie
Essen, 45147, Germany
Universitätsklinikum Freiburg, Klinik f. Innere Medizin, Hämatologie, Onkologie u. Stammzelltransplantation
Freiburg im Breisgau, 79106, Germany
Universitätsmedizin Göttingen, Zentrum f. Innere Medizin, Klinik f. Hämatologie und Medizinische Onkologie
Göttingen, 37075, Germany
Universitätsmedizin Greifswald, Klinik u. Poliklinik f. Innere Medizin C, Hämatologie u. Onkologie-, Transplantationszentrum
Greifswald, 17475, Germany
Katholisches Krankenhaus Hagen gGmbH, St.-Marien-Hospital, Klinik f. Hämatologie und Onkologie
Hagen, 58095, Germany
Universitätsklinikum Hamburg-Eppendorf (UKE), II. Med. Klinik u. Poliklinik, Onkologie, Hämatologie, KMT
Hamburg, 20246, Germany
Asklepios Klinik Altona, II. Med.Abt. f. Hämatologie und internistische Onkologie, Stammzelltransplantation
Hamburg, 22763, Germany
Universitätsklinikum Heidelberg, Med. Klinik - Innere Medizin V - Hämatologie, Onkologie und Rheumatologie
Heidelberg, 69120, Germany
Universitätsklinikum des Saarlandes, Klinik f. Innere Medizin I Hämatologie & Onkologie
Homburg, 66421, Germany
Klinikum Idar-Oberstein GmbH, Medizinische Klinik I
Idar-Oberstein, 55743, Germany
Universitätsmedizin Jena, Klinik f. Innere Medizin II, Abteilung Hämatologie u. Internistische Onkologie
Jena, 07747, Germany
Städtisches Klinikum Karlsruhe, Med. Klinik III, Hämatologie und Onkologie
Karlsruhe, 76133, Germany
Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik f. Innere Medizin II - Hämatologie und Onkologie
Kiel, 24105, Germany
Gemeinschaftsklinikum Mittelrhein gGmbH, Ev. Stift St. Martin, Klinik f. Innere Medizin
Koblenz, 56068, Germany
Praxisklinik f. Hämatologie und Onkologie Koblenz
Koblenz, 56068, Germany
Onkologisch-Hämatologische Praxis Dr. Vehling-Kaiser
Landshut, 84028, Germany
Klinikum Landshut gGmbH, Med. Klinik III, Hämatologie/Internistische Onkologie
Landshut, 84034, Germany
Caritas-KHLebach, Gemeinschaftspraxis f. Hämatologie und Onkologie, Onkologisches Zentrum Lebach
Lebach, 66822, Germany
Universitätsklinikum Leipzig AöR, selbständige Abteilung f. Hämatologie und Internistische Onkologie, Hämostaseologische Ambulanz
Leipzig, 04103, Germany
Klinikum Lippe GmbH, Onkologie und Hämatologie
Lemgo, 32657, Germany
Klinikum der Stadt Ludwigshafen am Rhein gGmbH, Med. Klinik A
Ludwigshafen, 67063, Germany
Universitätsklinikum Magdeburg AöR, Klinik f. Hämatologie und Onkologie
Magdeburg, 39120, Germany
Universitätsmedizin der Univ. Mainz, III. Med. Klinik u. Poliklinik
Mainz, 55131, Germany
Johannes Wiesling Klinikum Minden, Klinik f. Hämatologie/Onkologie, Hämostaseologie und Palliativmedizin
Minden, 32429, Germany
Klinikum der Universität München, Med. Klinik und Poliklinik III
München, 81377, Germany
Klinikum Rechts der Isar, III. Med. Klinik - Hämatologie und Onkologie
München, 81675, Germany
Universitätsklinikum Münster, Med. Klinik A, Translationale Onkologie / Lymphome
Münster, 48149, Germany
Klinikum Nürnberg,5. Medizinische Klinik, Onkologie / Hämatologie
Nuremberg, 90419, Germany
Klinikum Oldenburg gGmbH, Med. Klinik II
Oldenburg, 26133, Germany
Klinikum Ernst von Bergmann Potsdam gGmbH, Zentrum f. Innere Medizin, Klinik f. Hämatologie und Onkologie
Potsdam, 14467, Germany
KH Barmherzige Brüder, Klinik f. Onkologie und Hämatologie
Regensburg, 93049, Germany
Universitätsmedizin Rostock, Abt. f. Hämatologie und Onkologie, Klinik und Poliklinik für Innere Medizin
Rostock, 18057, Germany
Klinikum Stuttgart - Katharinenhospital, Klinik f. Hämatologie und Onkologie
Stuttgart, 70174, Germany
Robert-Bosch-Krankenhaus, Abt.f. Hämatologie und Onkologie
Stuttgart, 70376, Germany
Klinikum Traunstein, Hämatologie - Onkologie- Palliativmedizin
Traunstein, 83278, Germany
Klinikum Mutterhaus der Borromäerinnen gGmbH, Okologisches Zentrum
Trier, 54290, Germany
Universitätsklinikum Tübingen, Med Klinik I, Innere Medizin II
Tübingen, 72026, Germany
Universitätsklinikum Ulm, Klinik für Innere Medizin III
Ulm, 89081, Germany
Klinikum Wolfsburg, Med. Klinik II
Wolfsburg, 38440, Germany
Universitätsklinikum Würzburg, Med. Klinik u. Poliklinik II /ZIM
Würzburg, 97080, Germany
Azienda Ospedaliera SS. Antonio e Biagio e C. Arrigo, SC Ematologia
Alessandria, 15121, Italy
Policlinico S. Orsola Malpighi, Istituto di Ematologia e Oncologia Medica Seragnoli
Bologna, 40138, Italy
Comprensorio Sanitario di Bolzano, Ematologia e trapianto di midollo osseo
Bolzano, 39100, Italy
Spedali Civili, Struttura Complessa di Ematologia
Brescia, 25123, Italy
Ospedale Businco, UO Ematologia - CTMO
Cagliari, 09121, Italy
ASO S. Croce e Carle, S.C. di Ematologia e Trapianto di Midollo Osseo
Cuneo, 12100, Italy
AOU Policlinico Careggi, Unità Funzionale di Ematologia
Florence, 50134, Italy
IRCCS AOU S. Martino - IST, Clinica Ematologia
Genova, 16132, Italy
IRCCS AOU S. Martino - IST, Ematologia
Genova, 16132, Italy
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori, Ematologia
Meldola (FC), 47014, Italy
Istituto Scientifico San Raffaele, Unità Ricerca Clinica Linfomi
Milan, 20132, Italy
Ospedale Niguarda, Struttura Complessa di Ematologia
Milan, 20162, Italy
Università di Modena e Reggio Emilia Policlinico - COM Centro Oncologico Modenese, Dipartimento di Oncologia ed Ematologia
Modena, 41124, Italy
Ospedale S. Gerardo, Divisione di Ematologia
Monza, 20052, Italy
"IRCCS Istituto Nazionale dei Tumori di Napoli - Pascale", Ematologia Oncologica
Napoli, 80131, Italy
AOU Maggiore della Carità - Università del Piemonte Orientale, S.C.D.U Ematologia
Novara, 28100, Italy
AO Ospedali Riuniti Villa Sofia-Cervello, Divisione di Ematologia
Palermo, 90146, Italy
IRCCS Fondazione Policlinico San Matteo, Clinica Ematologia
Pavia, 27100, Italy
Azienda Ospedaliera Pisana Ospedale "S.Chiara", Dipartimento di Oncologia Divisione di Ematologia
Pisa, 56126, Italy
Ospedale S. Maria delle Croci, U.O di Ematologia
Ravenna, 48121, Italy
Azienda Ospedaliera Bianchi, Melacrino, Morelli, Divisione di Ematologia
Reggio Calabria, 89125, Italy
Azienda Ospedaliera Arcispedale Santa Maria Nuova - IRCCS, Ematologia
Reggio Emilia, 42123, Italy
Ospedale degli Infermi, U.O. Ematologia
Rimini, 47923, Italy
Policlinico Tor Vergata, UOC Oncoematologia
Roma, 00133, Italy
Università La Sapienza, Ematologia
Roma, 00161, Italy
Casa Sollievo della Sofferenza, U.O. Ematologia
San Giovanni Rotondo, 71013, Italy
A.O. Città della Salute e della Scienza, SC Ematologia
Torino, 10126, Italy
A.O. U. Città della Salute e della Scienza, S C Ematologia U
Torino, 10126, Italy
Ospedale Cà Foncello, U.O.C. Ematologia
Treviso, 31100, Italy
Ospedale Cardinale Panico, Divisione di Ematologia
Tricase, 73054, Italy
ASUI Integrata di Udine, Clinica Ematologia
Udine, 33100, Italy
Ospedale Policlinico G.B. Rossi, "Centro trapianto midollo osseo Ematologia"
Verona, 37134, Italy
Ospedale S. Bortolo, Ematologia
Vicenza, 36100, Italy
Haukeland University Hospital , Dept. of Oncology and Medical Physics
Bergen, 5021, Norway
Oslo University Hospital, Dept of Oncology
Oslo, 0310, Norway
Stavanger University Hospital, Division for Hematology&Oncology
Stavanger, 4011, Norway
UNN Tromsø, Oncology Dep
Tromsø, 9038, Norway
St. Olavs Hospital, Department of Oncology
Trondheim, 7006, Norway
Sahlgrenska University Hospital, Section of Hematology and Coagulation, Dept of internal medicine
Gothenburg, 413 45, Sweden
University Hospital, Dept of Hematolgy
Linköping, 581 85, Sweden
Sunderbyn Hospital, Dept of Medicine
Luleå, 971 80, Sweden
Skane University Hospital
Lund, 221 85, Sweden
Örebro University Hospital, Dept of Oncology
Örebro, 701 85, Sweden
Karolinska University Hospital, Center of Hematology
Stockholm, 141 86, Sweden
Norrland University Hospital, Dept of Oncology
Umeå, 901 85, Sweden
Academic Hospital, Dept of Oncology
Uppsala, 751 85, Sweden
Related Publications (2)
Dreyling M, Doorduijn J, Gine E, Jerkeman M, Walewski J, Hutchings M, Mey U, Riise J, Trneny M, Vergote V, Shpilberg O, Gomes da Silva M, Leppa S, Jiang L, Stilgenbauer S, Kerkhoff A, Jachimowicz RD, Celli M, Hess G, Arcaini L, Visco C, van Meerten T, Wirths S, Zinzani PL, Novak U, Herhaus P, Benedetti F, Sonnevi K, Hanoun C, Hanel M, Dierlamm J, Pott C, Klapper W, Gozel D, Schmidt C, Unterhalt M, Ladetto M, Hoster E. Ibrutinib combined with immunochemotherapy with or without autologous stem-cell transplantation versus immunochemotherapy and autologous stem-cell transplantation in previously untreated patients with mantle cell lymphoma (TRIANGLE): a three-arm, randomised, open-label, phase 3 superiority trial of the European Mantle Cell Lymphoma Network. Lancet. 2024 May 25;403(10441):2293-2306. doi: 10.1016/S0140-6736(24)00184-3. Epub 2024 May 2.
PMID: 38705160DERIVEDKumar A. What is the role of up-front autologous stem cell transplantation in mantle cell lymphoma? Hematology Am Soc Hematol Educ Program. 2022 Dec 9;2022(1):155-162. doi: 10.1182/hematology.2022000333.
PMID: 36485104DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Martin Dreyling, Prof.
Klinikum der Universität München
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Sponsor Delegated Person / Coordinating Prinicipal Investigator
Study Record Dates
First Submitted
July 14, 2016
First Posted
August 8, 2016
Study Start
July 1, 2016
Primary Completion
May 1, 2021
Study Completion
May 1, 2026
Last Updated
December 19, 2017
Record last verified: 2017-12
Data Sharing
- IPD Sharing
- Will not share